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18 Cards in this Set
- Front
- Back
assessment
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the collection of data about an individual's health state
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Biomedical model
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the Western European/ North American tradition that views health as the absence of disease
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Complete database
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a complete health history and full physical examination
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Critical thinking
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simultaneously problem-solving while self-improving one's own thinking ability
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Diagnostic reasoning
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a method of collecting and analyzing clinical information with the following components 1. attending to initially available cues 2. formulating diagnostic hypothesis 3. gathering data relative to the tentative hypothesis 4. evaluating each hyposthesis with the new data collected and 5. arriving at a final diagnosis
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Emergency database
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rapid collection of the database, often compiled concurrently with lifesaving measures
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enviroment
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the total of all the conditions and elements that make up the surroundings and influence the development of a person
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Evidence based practice
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a systematic approach emphasizing the best research evidence, the clinician's experience, patient preferences and values, physical examination, and assessment
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Focused database
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one used for a limited or short term problem; concerns mainly one problem, one cue complex, or one body system
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follow-up database
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used in all settings to monitor progress on short term or chronic health problems
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Holistic health
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the view that the mind, body, and spirit are interdependent and function as a whole within the enviroment
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Medical diagnosis
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used to evaluate the cause and etiology of disease; focus is on the fuction or malfunction of a specific organ system
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Nursing diagnosis
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used to evaluate the response of the whole person to actual or potential health problems
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Nursing process
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a method of collecting and analyzing clinical information with the following components 1. assessment 2. diagnosis 3 outcome identification 4 planning 5 implementation 6 evaluation
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objective data
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what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical exam
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prevention
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any action directed toward promoting health and preventing the occurence of disease
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subjective data
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what the person says about himself or herself during history taking
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wellness
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a dynamic process and view of health; a move toward optimal functioning
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